Cildren And Pregnancy Flashcards

1
Q

Highest risk area for rotavirus for children?

A

Central Africa

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2
Q

Highest rate measles, in which countries

A

Nigeria, Pakistan, and Somalia 

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3
Q

Yellow fever, vaccine, and babies

A

Less than six months – never- risk of post vaccine encephalitis 
6 to 9 months – CDC consult
> than nine months – same as adults 

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4
Q

Rabies death worldwide

A

Approximately 60,000 per year 

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5
Q

Over half of rabies cases in what age

A

Less than 15-years old

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6
Q

Rabies, pre-exposure, prophylaxis for children, how many doses

A

Three doses 

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7
Q

 Accelerating routine, vaccines in infants 

A

MMR and hepatitis A at six months, both need to repeat at 12 months and complete the series

DTAP, IPV, rotavirus, Hib and PCV 13 can be given at six weeks

Minimum dose intervals can be decreased to four weeks for most vaccines

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8
Q

Use of deet and young children

A

Generally safe over two months old
Rare cases with ingestion of encephalopathy and seizureslike illness. 

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9
Q

Can infants use deet and sunscreen combo product

A

No, not recommended 

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10
Q

Picardin use in babies

A

Not higher than 10%

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11
Q

Oil of lemon eucalyptus in babies

A

Not recommended for less than three years old

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12
Q

Radiation and air travel
Body provides no shield to fetus
Usual radiation dose

A

0.005 - 0.01 mSv / hrs flight

Flight attendants max equals 1 mSv per nine months pregnancy(100-200 flight hours)

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13
Q

VTE

A

5-10 x increased risk and pregnancy
2 to 4 x risk for flights > than 8 hours
1 per 1000 for < than 35 yo
2.4 per 1000 > than 35 yo

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14
Q

Pregnancy and scuba diving

A

Unsafe at any stage of pregnancy
Risk of fetal decompression sickness

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15
Q

Cruise travel and pregnancy

A

Considerations for COVID-19
Cruise line restrictions to 24 to 28 weeks
Medical concerns
Pandemic

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16
Q

Hepatitis, E and pregnancy

A

Entericaly transmitted
 major case outbreaks
15 to 25% case fatality ratio in pregnancy
Immune globulin from non-endemic countries is ineffective 

17
Q

Dengue in pregnancy 

A

May look like toxemia, or HELLP syndrome 

18
Q

Altitude and pregnancy 

A

Extreme altitude greater than 12,000 feet not advised
Moderate altitude OK late term possible risks but short exposure probably OK
Acetazolamide in pregnancy class C, contraindicated, first trimester be, and after 36 weeks
Consider remoteness from care

19
Q

Most likely problems and pregnancy

A

Diarrhea and DVT, not vaccine, preventable illnesses

20
Q

Travel with children

A

Carrya medical kit with ORS packets